Princess Midnight had maloccluded teeth. Her two bottom teeth literally were growing up into her nose like tusks! I chose to have the teeth completely removed, not clipped, because when they are clipped/burred you have to keep getting it done every few weeks/months as the teeth continue to grow long again.
To me, continued visits every few weeks to have them trimmed would be traumatic to my bun, as well as expensive -- not only the cost of the visits/trimming, but also the gas that it takes for me to get to the nearest bun-savvy vet (50-60 miles each way)!!
Anyways, although I could only see the bottom two teeth growing up out of her mouth, when the vet was extracting them he asked what I wanted to do with the two top teeth! I'm like, "what's wrong with them?" He told me that they were growing like tusks also, except they were growing sideways (one left and one to the right)!!
So Midnight does not have her four front teeth and is now eating like a horse!! LOL! She eats all of the same foods that she ate before (pellets, carrots, apples, raisins, lettuce, etc ...) with no trouble at all. Like I said, she's eating even more now that those teeth are out of the way!
So, this is also an option you may want to consider. My vet charged about $25 per tooth which seems like a hefty sum off the top, but over the long term I saved myself a lot of money 'cause now I won't have to deal with maloccluded teeth anymore ya know? (knock on wood) :-)